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Article Dans Une Revue International Journal of Cardiology Année : 2021

Implantable cardiac devices in sleep apnoea diagnosis: A systematic review and meta-analysis

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Background: A particularly high burden of sleep apnoea is reported in patients treated with cardiac implants suchas pacemakers and defibrillators. Sleep apnoea diagnosis remains a complex procedure mainly based on sleepand respiratory indices captured by polysomnography (PSG) or respiratory polygraphy (PG).Aim: We aimed to evaluate the performance of implantable cardiac devices for sleep apnoea diagnosis comparedto reference methods.Method: Systematic structured literature searches were performed in PubMed, Embase and.Cochrane Library was performed to identify relevant studies. Quantitative characteristics of the studies weresummarized and a qualitative synthesis was performed by a randomized bivariate meta-analysis and completedby pre-specified sensitivity analyses for different implant types and brands.Results: 16 studies involving 999 patients met inclusion criteria and were included in the meta-analysis. Themajority of patients were men, of mean age of 64 ± 4.6 years. Sensitivity of cardiac implants for sleep apnoeadiagnosis ranged from 60 to 100%, specificity from 50 to 100% with a prevalence of sleep apnoea varying from22 to 91%.For an apnoea-hypopnoea index threshold ≥30 events/h during polysomnography (corresponding to severe sleepapnoea), the overall performance of the implants was relevant with a sensitivity of 78% and a specificity of 79%.Subgroup analyses on implant type and brand provided no additional information owing to the small number ofstudies.Conclusion: The respiratory disturbance index provided by cardiac implants is clinically relevant and mightimprove access to sleep apnoea diagnosis in at-risk cardiovascular populations.PROSPERO Registration number: CRD42020181656
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hal-03498005 , version 1 (22-07-2024)

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Raoua Ben Messaoud, Charles Khouri, Jean-Louis Pepin, Jean Luc Cracowski, Renaud Tamisier, et al.. Implantable cardiac devices in sleep apnoea diagnosis: A systematic review and meta-analysis. International Journal of Cardiology, 2021, ⟨10.1016/j.ijcard.2021.12.014⟩. ⟨hal-03498005⟩

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